Provider Demographics
NPI:1104094903
Name:JAMES R RICHARDS DC., LLC
Entity type:Organization
Organization Name:JAMES R RICHARDS DC., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:RICHARDS DC., LLC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-351-2100
Mailing Address - Street 1:2020 ARDMORE BLVD
Mailing Address - Street 2:SUITE 169
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4608
Mailing Address - Country:US
Mailing Address - Phone:412-351-2100
Mailing Address - Fax:
Practice Address - Street 1:2020 ARDMORE BLVD
Practice Address - Street 2:SUITE 169
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4608
Practice Address - Country:US
Practice Address - Phone:412-351-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006768L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty